Parihilair cholangiocarcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - 18 years or older. - Capable of providing written and oral informed consent. - Histological or cytological proof of perihilar CCA (adenocarcinoma)* - Biliary obstruction with indication for drainage (symptomatic (itch or cholangitis) or necessary for systemic therapy). - Advanced (no candidate for surgical resection) due to metastases, vascular or lymph node (N2) involvement on imaging or during staging laparoscopy according to multidisciplinary team (MDT).
Exclusion criteria
Exclusion criteria: - Resectable CCA. - Intrahepatic or distal CCA, or gallbladder cancer. - CCA eligible for liver transplantation. - Life-expectancy less than 3 months. - ERCP and PTD technically not feasible. - Uncontrolled coagulopathy (PTT >1,5x prolonged or thrombocytes below 40 10E9/L). - Carcinoma other than adenocarcinoma. - Implantable pacemaker and implantable cardioverter/ defibrillator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary aim of the proposed pilot study is to evaluate whether eRFA is feasible, safe in patients with unresectable perihilar cholangiocarcinoma. | — |
Secondary
| Measure | Time frame |
|---|---|
| Recurrence of biliary obstruction, quality of life | — |
Contacts
Amsterdam UMC